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SEVEN HILLS, Ohio
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for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical ... develops, directs, and implements clinical and non-clinical activities that impact health care quality cost
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SEVEN HILLS, Ohio
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Director Specialty Network Management
Location: This position will work a hybrid ... .
The Director Specialty Network Management directs strategy and processes around development
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SEVEN HILLS, Ohio
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development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology
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SEVEN HILLS, Ohio
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government regulations and requirements.
Researches and obtains additional data, consults with clinical ... quality and productivity standards and ensures reviews are conducted within required timeframes
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Seven Hills, Ohio
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responsible for collaborating with healthcare providers and members to promote quality member outcomes ... quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient
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